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Tax Invoice/Receipt: Product and Description Qty Reference No: EGOWHJXX16 Main Applicant: DEVIS GARDIAN (15.10.1983)

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ABN: 33380054835

Tax Invoice/Receipt

Receipt number 200033930779 Date 17.02.2023

GARDIAN,DAVIS
ImmiAccount Name BP no: 1025140735 Email: gardiandevis0@gmail.com

Total Due 152.10 AUD

Payment Received 152.10 AUD

Balance Due 0.00 AUD

Product and Description Qty Amount (AUD)


Details
Reference No: EGOWHJXX16
Main Applicant: DEVIS GARDIAN ( 15.10.1983 )
6101 FA600 Visitor/Tourist outside Australia 1 150.00
Sub total for FTRN 9025097028 150.00
Credit Card/PayPal Surcharge 2.10

Total Due (AUD) 152.10


Payment Details
Card Holder Name: davis gardian
Card Payment VC - 434769*******204 ( 200033930778 ) 152.10
Response : 0 - Approved AuthCode : 304807736347
Order ID : 51001714734 Merch ID : DICCOM03

Payment total (AUD) 152.10

ORIGINAL RECEIPT
Comments

* GST applies to this item and is equal to 1/11th of the total charged for this item. If a credit card surcharge applies then the GST component of the
surcharge is also 1/11th.

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